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This study utilized the Organ Procurement and Transplant Network (OPTN) database for all children <18 years old listed for heart or multivisceral transplant, between 1989-2009 and examined the effect of era and race on waitlist mortality. Their analysis showed that the overall waitlist mortality has decreased across the eras after adjustment for patient related factors. This decrease in morality was seen across the age ranges and within each of the racial groups. In addition, racial differences in waitlist mortality seen in the past were not present in the current era.